HomeMy WebLinkAbout375 Cajetan St - Disclosures/Mechanical - 04/11/2016City of Fort Collins Residential Mechanical Systems Performance Report Updated 3/7/2014
This form is a record of testing targets and results, with Pass/Fail outcomes. For information on measurement toots City of and testing techniques, see the "Residential New Construction Mechanical Systems Testing Guide." The guide and Flirt Collins
this form may be periodically updated;;check the Building Services web site for the current version.
This form must be completed and signed by an "Approved Agency," and submitted to Building Services as a requirement for receiving a C.O.
Color
key
ADCF = Air Density Correction Factor, based on tool,
ADCF altitude (5000'), air temperature through toot
Volumetric flow (CFM 5000') = ADCF x Indicated flow (CFM)
Address Date of "Residential
3� Mechanical Systems
Builder Design Submittal"
information referenced
HVAC contractor, R�r. p� by testing technicians
Target
Measured value
Other
or limit
to compare with
Pass
Fail
Caution
data
target or limit
As -built changes vs
mech design submittal
Testing date(s) V-1 1
is
Bath exhaust Testing tech (initials) —�
Flow 0Flow box Pitot tube duct traverse Air temp �:� ADCF
tool Passive flow hood Other (note below) through tool (F)
Measured Airflow
Design
Minimum Airflow Requirement
Indicated
Volumetric
Exhaust Pickup Locatipn
Airflow
(CFM
(CFM 5000')
Flow
Flow
Pass
Fail
5000')
+ Type of Operation
(CFM)
(CFM 5000')
1 S0 Intermittent 20 Continuous
A-2-
Iff
❑l
i
tU.L; PJc, r_
k/-50Intermittent _20Continuous
S
S
[Al
❑
0/-'50 Intermittent 20 Continuous
%n
�
❑
—
50 Intermittent —20 Continuous
❑
:. ❑.
50 Intermittent 20 Continuous.
E
❑
50 Intermittent 20 Continuous
❑
❑
-------------
— 50 Intermittent 20 Continuous
❑
❑
Testing
notes
Kitchen exhaust N/A - hood does not vent to outside ElTesting tech (initials)
O+en fuel Gas Electric Minimum airfleev requirement (CFtv15000') +operation 1001ntennittent 25 Continuous
Pleasured airflow
o rJ Flow box Pitot tube traverse Tool Interior grille Air temp
� — —
Passive flow hood Flow grid _ Exhaust duct through f ./ ADCF
too! — Powered flow hood Other (note below) location terin na@on not OK) tool (F) �•`r U
Indicated flow .' CFM Volumetric flow_ r CFM 5000' ass ❑. Fail
a�-
Testing
notes
i
Residential Mechanical Design Submittal V20140307 Page 1
.+ Li
4 � (i 17.r� 1 � i x�..( � �-_:� a •i' �.Y %L3111F•!�'JL'1V4r �V .[ i...i
,,jy,.F.._+.:l:�tl'" �•._.S..isas. _C�- .1.�.. ...,G�.�'. .'ti.._..v ms k��.• ...L..-
Systems other than sub -structural floor exhaust Testing tech (initials)
Code -minimum ventilation airflow Design ventilation CFM 5000,
Z L CFtJi 5000' EExhast only
(based on CFA and # of BR) airflow System —
y-only
Target ventilation airflow range
to CFM 500D'Pe _ced
(clvle4ninirttumh (t20%61de:ignflow)
Measured Airflow
Air Temp
Indicated
Volumetric
Measurement Method
Tool Location
Through
ADCF
Flow .
Flow
Pass
Fail
Tool (F)
(CFM)
(CFM 5000')
Total
:NIA . Passive.flow hood
❑:
exhaust
Flow box ,Pitot.tutie traverse
f
jj //
airflow
Flow collar _ Other (note below)
Total
N/A Passive. flour hood
supply
_
_ Flow box ^ Pitot tube traverse
airflow
Flow collar Other: (note below)
When supply airflow is ciriculated by air handler fan, fan speed for measurement
Lfieatinig _ _ Cooling . _ Continuous fan
Balanced airflow in balanced systems
Average of measured CFM Target flow range. CFM
supply +exhaust flows ` 5000' (average +!- 15% to 5000' ❑Pass] Fail
PP y ( 9 )
Testing
notes
Substructural floor exhaust N!A -- no sub -structural floor exhaust system Testing tech (initials)
F CFM 5000' Target airflow limits
approved design) (design +!- 15°!°) to CFM 5000'
Design exhaust airflow (based on
Measured airflow
Flow -= Flow box Pilot tubs traverse Took Air temp
Passive flow hood Flow collar through ADCF
tool — — location
Powered flow hood.... _ Other (note below) tool (F) . .
Indicated Pow l. CFM Volumetric flour CFM 5009 ❑ Pass ❑Fail
Testing
notes
NIA — No ductwork
No ductwork outside conditioned space.
Sesting tech? (initialsf
Duct leakage Energy reter.(namee
data source company, testing date):
House conditioned floor area
sf
Cc
(induce full basement) �U f .. .
Testing notes
Air temp � ADCF EEI
through tool (F)
Test Parameter and Conditions
Maximum Allowed Duct Leakage
Normalized Absolute
(CFM25 5000' 1100 sf) (CFM25 5000')
Measured Duct Leakage
'Indicated Volumetric
(61711425) (CFM25 5000')
System #1
System #2
Leakage Type
Timing
AirHandler
Pass
Fail
Passl
Fail
Total leakage
Rough -in
Excluded
3
❑
❑
❑
❑ .
Total Leakage
Rough -in
Included
4
i
❑
❑
❑..
Total leakage
Complete
Irjciuded
4
C-°
❑
❑
❑ .
I:
Residential Mechanical Design Submittal
V20140307
Page 2
For multiple systems, attach one page per system
System #Fi I Which parts of house does it serve? . L. j U�.
Installed equipment (Bg clear about which AC components are installed at time of testing) Testing tech (initials �� i . _.
Furnace or Boiler AC or Heat Pump Condenser AC or Heat.Pump Coil
IModel #1 Ag3 v
Filter
brand
Static pressures
v
izF OCyr ' i
_ asie fiberglass _ Electrostatic .
Basic pleated - Other.
High-effic pleated
Setup
Speed: - Heating (:/—ecoling _ Conti fan
_ High -stage for multi -stage equipment
Blower speed tap.1/t
Humidifier damper: kN/A .
Open (Heating).
l` __,:_.Closed (Coping)
3 All registers open
�rne dampers open
SP'l
AP
Pilfer
(SpiPl - Sp2j A
Thickness .rit. MERV . .
(inches) / . (optional) . .
Testing tech (initials' -
(Same location
for NSOP,
TFSOP)
Its .
r
SP2
Cooling: Measured air flow through indoor coil ❑ N/A — no AC installed Testing tech (initials)
Design cooling airflow Target airflow limits %
(high stage)EKE]CFM 5000' (design +/-15%) to/ ICFM 5000'
�P C! �7 ...
fvleasured airflmv
Flow grid ' t4
pate sire 20
Air temp.
through•
tool (F), :
ADCF (,O�d NSOP
Measur.ed airflow, no
adjustment/correction
CFrul
Indicated airflow ) CFM
Measumed AF x FRCF
Testing
.
notes
.
Heating: Gas manifold pressure (r.:gh stage)
FloResistance
TFSOP Correction Factor
Volumetric airflow ��fr/]X) CFM Pass
Indicated AF x ADCF "' 5000' ^[l Fail
Manifold pressure ? / lvvC Target manifold P tc IWC
OEM spec ne 5006' �'. limits (spec+/- 5°/a)
Heating: Temperature rise
OEM temperature rise limits
(high stage). t� �J F
Measured temps (F): Supply . Returnf
airl1.— airQ:
I
i
Residential Mechanical Design Submittal
r
Testing tech {initial —
Measured 2 5— IWCass
pressure J E j Fail
Testing tech (initial ,
Temp E*Pass r1�Fail [] Caution: within 10r=
rise c / of top of range
V20140307
Page 3
Testing tech (initial f !s
Testing approach and targets
❑ NIA: No complete AC system ��g--idfA: House completed November -April [nstauing ccntraanr respo,sime for testing in warm weather)
❑ TXV: Subcooling + SH check Q Non-TXV: Superheat ❑ OEM -specific: Approach ❑ Other OEM -specific (documentation required)
Temperatures Condenser Non-TXV: Return
temp reread Target Target
(F): entering air temp air wet -bulb temp superheat Subcooling approach
Subcooling
Discharge Condenser Liquid Actual ❑ TXV Pass: Actual SC within +!-
pressure saturation T F line F subcooling F 3 F of target r9et SC, 2 F min
(PSI) (500(r ctjaii) . temp (fond T -iiq liner) .❑.TXV Fail
Superheat
Suction Evaporator Suction Actual ❑ Non-TXV Pass: Actual SH
pre(PSI) saturation T�F Iine�F superheat�F within +!- 5 of target SH
(PSI) (5e00' chart) temp (Sud Tina T-eve T) Q Non-TXV Fail
TXV checks: ❑ Pass: Field -installed TXV installed in accordance with OEM instructions ❑ Caution: Actual SH outside mfgr range
Approach
Liquid line
�Actual approach Approach
Approach Pass: Actual approach within +I- 1 F of target approach
temp F (Uq line T - condenser EAT) ❑Approach Fail
Register air flovis
I'
All registers are cut through finish materials and moving air Pass 10 Fail
i
(Remainder of register air flow section under development, not yet being enforced)
is
Pressure balance
Testing tech (initial
Testing tech (initials
Room
(match names on plans, include
basement if there is a door)
Room -to -Core
Pressure Drop
Target Range (Pa)
Measured
Pressure
Drop (Pa)
Pass
Fail
/~ tk5 er LYryt_
-3to+3 .;
Tafo
—
F
El
/GL rGvsl3
-3 to +3
a
-3 to +3
❑
❑
i
;
-3 to +3
❑
Eli
4 to +3 ...
❑
❑
-3 to +3
❑
❑'
-3 to +3
❑
❑
-3 to +3
❑
-3 to +3'
❑
❑
i•`
is
Residential Mechanical Design Submittal
V20140307
Page 4
s
t Combustion safety testing NIA -- no natural -draft combustion appliances Testing tech (initials/ —
'((Appliance Types table must be completed for every home)
Appliance types
Appliance
Combustion
Type
NIA .
Draft -hood
(Natural -draft)
Induced -draft
(Natural -draft)
Power-
vent
Direct-
vent
Pa.vered sealed -
combustion
Electric
Furnace#1
❑
❑
❑
❑
❑--
❑
Furnace #2
❑'
❑
❑
❑
❑
❑
❑
Boiler#1
❑
❑
❑
❑
❑
❑
❑
Boiler #2
❑.
❑
❑
❑
❑
❑
❑
Water heater #1
❑ �
❑
❑
�—
�`'�--
❑
❑
Water heater #2
❑
❑
❑
❑
❑
❑
❑
Fireplace #1
❑i.
❑
❑
❑
❑
❑
❑
Fireplace #2
❑
❑
❑
❑
❑
❑
Other.
E J
❑
❑
❑
❑
❑
❑
Worst -case depressurization performance
House setup
These doors are closed:
_ # of bath fans on
_ Vented range hood on
Clothes dryer on
Air handler an
Other fans on: Other setup notes:
is
Outdoor temperature F
CAZ pressure "
BPI depressurization limit (Pa wrt outside)
Measured net CAZ depressurization (Pa wrt outside)
OK (less negative) I Caution (n ore negative)
Spillage
BPI maximum limit (seconds"
Measured spillage duration (seconds)
Pass = duration not exceeding ))rjnit
Draft pressure
BPI limit (Pa wrt CAZ;
Measured (Pa wrt CAZ,
Pass = pressure more negative than limit
CO concentration in undiluted flue gas
BPI maximum limit (ppm;
Measured CO (ppm;
Pass = CO level not exceeding limit
Caution =.CO level 25 to 100 ppm
i
�i
Residential Mechanical Design Submittal
❑ OK I❑ Caution ❑ JOK I ❑ Caution ❑ JOK I ❑.. Caution
60
60
60:
❑
Pass El Fait
❑
Pass .❑ Fail
❑
Pass ❑. Faif
❑ Pass ElFail El Pass 1. ❑ Fait ❑ Pass ❑ Fail
100 .....
100
10D.
❑
IPass ❑ Fail
❑
Pass ❑. Fail
❑
Pass ❑ . Fail
-. ❑
Caution
❑
Caution
❑ ,
Caution
V20140307
Page 5
.�a��,v
� 1r� ,� '�sf # ��'i i.` ,•y
i/�L ��'.r `r.��• f�' .S a '�.�
Testing tech (initi-T-119 I 11
System
Controls Operating
Per Design Intent
Local exhaust (all tans)
❑
NIA
9-=
Pass
❑
Fail
Whole -house ventilation
❑
NIA
z-,
Pass
❑
Fail
Sub -structural floor exhaust
R/A
❑
Pass
❑
Fail
Heating (all systems)
❑
NIA
ass
❑
Fail
Cooling (all systems)
❑
NIA
ass
❑ .
Fail
Technician #1 performing inspection _and testing documented on this report (Approved Agency)
1 certify that the tests referenced above, in. sections bearing my initials, were performed in accordance with protocols specified by the
City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge.
Name (print) 1_(t Wa
TIDE
Company
Signature and Date
Technician #2 performing inspection:and testing documented on this report (Approved Agency)
1 certify that the tests referenced above, in sections bearing my initials, were performed in accordance with protocols specified by the
City of Fort Collins Building Services Department, and that the reported results are accurate to the best of my knowledge.
Nai
Signature
HVAC Contractor (City of Fort Collins license holder)
I certify that I have reviewed this report and that the test results are an accurate representation of the performance of the installed mechanical
systems.
Name
Cor
Signature an(
i
Residential Mechanical Design Subn)idral V20140307
Page 6